Epicardial obesity and atrial fibrillation: emphasis on atrial fat depot

The studies, performed with MRI and CT, showed that the increase of fat, immediately adjacent to the myocardium (epicardial fat) is correlated more strongly with the risk of atrial fibrillation than the general or abdominal obesity. According to some studies, epicardial fat around the left atrium is...

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Main Authors: Evgeniy S. Mazur, Vera V. Mazur, Nikolay D. Bazhenov, Sergey V. Kolbasnicov, Oksana V. Nilova
Format: Article
Language:English
Published: Endocrinology Research Centre 2020-12-01
Series:Ожирение и метаболизм
Subjects:
Online Access:https://www.omet-endojournals.ru/jour/article/view/12614
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author Evgeniy S. Mazur
Vera V. Mazur
Nikolay D. Bazhenov
Sergey V. Kolbasnicov
Oksana V. Nilova
author_facet Evgeniy S. Mazur
Vera V. Mazur
Nikolay D. Bazhenov
Sergey V. Kolbasnicov
Oksana V. Nilova
author_sort Evgeniy S. Mazur
collection DOAJ
description The studies, performed with MRI and CT, showed that the increase of fat, immediately adjacent to the myocardium (epicardial fat) is correlated more strongly with the risk of atrial fibrillation than the general or abdominal obesity. According to some studies, epicardial fat around the left atrium is a strong predictor of the development at atrial fibrillation. Also, the amount of the fat is associated with the effectiveness of cardioversion and the risk of developing thromboembolic stroke in patients with atrial fibrillation. The number of such works is small, since tomographic examinations are not needed if intra-atrial thrombosis is suspected, and transthoracic echocardiograthy does not allow visualization of atrial fat. However, transesophageal echocardiography is widely used in patients with atrial fibrillation and allows to measure the structures that serve as depots of epicardial fat, namely the interatrial septum and left lateral ridge. Accumulation of epicardial fat leads to thickening of these structures. This can be used to study the relationship between epicardial obesity and the risk of thromboembolic complications in patients with atrial fibrillations.
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spelling doaj.art-c5c58b3e8e47440bb3de63aaf6cccb052024-09-11T16:17:52ZengEndocrinology Research CentreОжирение и метаболизм2071-87132306-55242020-12-0117331632510.14341/omet1261410855Epicardial obesity and atrial fibrillation: emphasis on atrial fat depotEvgeniy S. Mazur0Vera V. Mazur1Nikolay D. Bazhenov2Sergey V. Kolbasnicov3Oksana V. Nilova4Tver State Medical UniversityTver State Medical UniversityTver State Medical UniversityTver State Medical UniversityTver State Medical UniversityThe studies, performed with MRI and CT, showed that the increase of fat, immediately adjacent to the myocardium (epicardial fat) is correlated more strongly with the risk of atrial fibrillation than the general or abdominal obesity. According to some studies, epicardial fat around the left atrium is a strong predictor of the development at atrial fibrillation. Also, the amount of the fat is associated with the effectiveness of cardioversion and the risk of developing thromboembolic stroke in patients with atrial fibrillation. The number of such works is small, since tomographic examinations are not needed if intra-atrial thrombosis is suspected, and transthoracic echocardiograthy does not allow visualization of atrial fat. However, transesophageal echocardiography is widely used in patients with atrial fibrillation and allows to measure the structures that serve as depots of epicardial fat, namely the interatrial septum and left lateral ridge. Accumulation of epicardial fat leads to thickening of these structures. This can be used to study the relationship between epicardial obesity and the risk of thromboembolic complications in patients with atrial fibrillations.https://www.omet-endojournals.ru/jour/article/view/12614epicardial fatpericardial fattransesophageal echocardiography
spellingShingle Evgeniy S. Mazur
Vera V. Mazur
Nikolay D. Bazhenov
Sergey V. Kolbasnicov
Oksana V. Nilova
Epicardial obesity and atrial fibrillation: emphasis on atrial fat depot
Ожирение и метаболизм
epicardial fat
pericardial fat
transesophageal echocardiography
title Epicardial obesity and atrial fibrillation: emphasis on atrial fat depot
title_full Epicardial obesity and atrial fibrillation: emphasis on atrial fat depot
title_fullStr Epicardial obesity and atrial fibrillation: emphasis on atrial fat depot
title_full_unstemmed Epicardial obesity and atrial fibrillation: emphasis on atrial fat depot
title_short Epicardial obesity and atrial fibrillation: emphasis on atrial fat depot
title_sort epicardial obesity and atrial fibrillation emphasis on atrial fat depot
topic epicardial fat
pericardial fat
transesophageal echocardiography
url https://www.omet-endojournals.ru/jour/article/view/12614
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AT veravmazur epicardialobesityandatrialfibrillationemphasisonatrialfatdepot
AT nikolaydbazhenov epicardialobesityandatrialfibrillationemphasisonatrialfatdepot
AT sergeyvkolbasnicov epicardialobesityandatrialfibrillationemphasisonatrialfatdepot
AT oksanavnilova epicardialobesityandatrialfibrillationemphasisonatrialfatdepot